Individual
DR. ATHENA PARADISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1715 E BURNSIDE ST, PORTLAND, OR 97214-1531
(503) 234-4622
(503) 788-6399
Mailing address
1715 E BURNSIDE ST, PORTLAND, OR 97214-1531
(503) 234-4622
(503) 788-6399
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
272272
OR
111NN1001X
Nutrition Chiropractor
Primary
272272
OR
111NR0400X
Rehabilitation Chiropractor
272272
OR
Other
Enumeration date
05/16/2007
Last updated
09/11/2025
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